Active NPI
A Carol Brooks, PT
- Physical Therapist
- Edmond, OK
National Provider Identifier
1356547053
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1708
- Practice address
- 3317 East Memorial Rd
Suite 104 Jones Physical Therapy
Edmond, OK 73013 - Phone
- (405) 475-7080
- Fax
- (405) 475-5033
- NPI assigned
- Jun 21, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1708 | OK | Primary |
Addresses
Primary practice location
3317 East Memorial Rd
Suite 104 Jones Physical Therapy
Edmond, OK 73013
Mailing address
1409 Carrick CT
Edmond, OK 73034-3309
Phone (405) 341-9711
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1708 | OK | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| HJ Enterprises | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1356547053",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1409 CARRICK CT",
"city": "EDMOND",
"state": "OK",
"postal_code": "730343309",
"telephone_number": "405-341-9711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3317 EAST MEMORIAL RD",
"address_2": "SUITE 104 JONES PHYSICAL THERAPY",
"city": "EDMOND",
"state": "OK",
"postal_code": "73013",
"telephone_number": "405-475-7080",
"fax_number": "405-475-5033"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROOKS",
"first_name": "A",
"middle_name": "CAROL",
"name_prefix": "Ms.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OK",
"license": "1708",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edmond, OK
- Lindsey Brockie
- Jennifer Nicole Bronson, MA. LPC-S
- Brookdale Senior Living Communities, Inc. (Sterling House of Edmond Sante Fe)
- Brookdale Senior Living Communities, Inc. (Sterling House of Edmond)
- Brooke Nida, MD, PC
- Anaesha Brooks
- Angela Darlene Brooks
- Caryn Brooks
- Jeanierose Brooks, ATC
- Jennifer Brooks, O.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.